Title Page
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Prepared by
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Conducted on
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Site
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Floor
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Occupier Name
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Location
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FCU ID
FCU
FCU Information
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FCU Make
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FCU Model
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FCU Serial Number
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EC Fan Fitted
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Photo of unit
Controller
Controller Information
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Controller Make
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Controller Model
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Valves and Actuators
Valves and Actuators
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LTHW and CHW Valves Make
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LTHW and CHW Vales Model
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Photo of both valves
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Actuator Make
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Actuator Model
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Actuators Fitted correctly
Flow
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CHW Design Flow l/s (Kvs)
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CHW Recorded Flow l/s (Kpa)
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LTHW Design Flow l/s (Kvs)
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LTHW Recorded Flor l/s (Kpa)
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Air
Air Load
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Number of Air Outlets
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Condition of air Grilles
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Details
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Details
Air Supply
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FCU Filters
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Filters Cleaned
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Filter Cleaned
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History
Historic Issues
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Has any issues been noted in the last 3 months?
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Provide Help Desk Details
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Other notes or concerns